Dr.DHEEPAK SUNDAR MALARAVANNAN, M19066
Purpose: To report a case of rhegamatogenous retinal detachment in a rare characteristic oblate eye ball and to enlist the associated intraoperative difficulties.
Results: The patient being a moderate myope with an axial length of 24.71mm presented with a fresh rhegmatogenous retinal detachment and marked peripheral choroioretinal degeneration. Difficulty in maneuvering with the standard 23 gauge vitrectomy cutter, inability to identify the break due to poor peripheral contrast, inadequate laser uptake and an unusual large silicon oil fill (7.3ml) were a few findings raising suspicion. Postoperative ocular ultrasonography showed an oblate eyeball with a relatively longer oblique axis as compared to the axial length confirming our suspicion.
Conclusion: Oblateness should be suspected when the chorioretinal degenerations are more marked in the periphery as compared to the posterior pole. Intra-operative difficulties should be kept in mind while operating such cases.
PRESENTATION NOT RECEIVED FROM THE AUTHOR.
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